CPT 93575 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Cardiovascular Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 76 - Repeat procedure by same physician • 22 - Increased Procedural Services |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 93575 |
National average reimbursement for CPT 93575 by major payers:
$134.95
$128.61
$116.87
$163.50
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 93575 | ||||||
United | 93575 | $3560.25 | 1265698948 - UNIVERSITY OF IOWA HOSPITAL AND CLINICS | 426004813 | IA | General Acute Care Hospital (282N00000X) |
United | 93575 | $535.00 | 1477061885 - QUITMAN HOSPITAL LLC | 823817196 | TX | Critical Access Hospital (282NC0060X) |
United | 93575 | $232.00 | 1770532319 - GRAHAM HOSPITAL DISTRICT, GRAHAM REGIONAL MEDICAL CENTER | 463113489 | TX | General Acute Care Hospital (282N00000X) |
United | 93575 | $730.00 | 1467442418 - NORTHWEST TEXAS HEALTHCARE SYSTEM INC, NORTHWEST TEXAS HEALTHCARE SYSTEM | 232238976 | TX | General Acute Care Hospital (282N00000X) |
United | 93575 | $2144.00 | 1073535027 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, BELLEVUE HOSPITAL CENTER | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | NY | General Acute Care Hospital (282N00000X) |
United | 93575 | $250.00 | 1386950350 - CRANE COUNTY HOSPITAL DISTRICT, CRANE MEMORIAL HOSPITAL | 352336501 - (TX) CRANE COUNTY HOSPITAL DISTRICT | TX | Critical Access Hospital (282NC0060X) |
United | 93575 | $341.00 | 1700874062 - RIVERSIDE MEDICAL CENTER, RIVERSIDE MEDICAL CENTER | 720629905 - (LA) RIVERSIDE MEDICAL CENTER | LA | Critical Access Hospital (282NC0060X) |
United | 93575 | $91.73 | 1417968637 - LAKE JACKSON IMAGING CENTER | 900275776 - (TX) LAKE JACKSON IMAGING CENTER | TX | Radiology Clinic/Center (261QR0200X) |
United | 93575 | $3275.00 | 1093894990 - THE UNIVERSITY OF CHICAGO MEDICAL CENTERS | 363488183 - UNIVERSITY OF CHICAGO MEDICAL CENTER | IL | Children's Hospital (282NC2000X) |
United | 93575 | $1598.00 | 1518969419 - AHS HOSPITAL CORP, HACKETTSTOWN MEDICAL CENTER | 521958352 - ATLANTIC HEALTH SYSTEM INC | NJ | General Acute Care Hospital (282N00000X) |
United | 93575 | $817.00 | 1023061496 - CRESTWOOD HEALTHCARE LP, CRESTWOOD MEDICAL CENTER | 621647983 | AL | General Acute Care Hospital (282N00000X) |
United | 93575 | $607.00 | 1790706851 - BLACKWELL HMA LLC, ALLIANCEHEALTH BLACKWELL | 730927647 | OK | General Acute Care Hospital (282N00000X) |
United | 93575 | $4789.00 | 1104989474 - ALBERT EINSTEIN MEDICAL CENTER | 231396794 - ALBERT EINSTEIN HEALTHCARE NETWORK | PA | General Acute Care Hospital (282N00000X) |
United | 93575 | $1845.00 | 1902901333 - CLARA MAASS MEDICAL CENTER | 221500556 | NJ | General Acute Care Hospital (282N00000X) |
United | 93575 | $1741.00 | 1679133532 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 93575 vs. Other Cardiovascular Procedures Codes
The CPT 93575 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 93575 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 93565-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Left Ventricular Or Left Atrial Angiography (List Separately In Addition To Code For Primary Procedure) |
| 93566-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Right Ventricular Or Right Atrial Angiography (List Separately In Addition To Code For Primary Procedure) |
| 93568-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report; For Nonselective Pulmonary Arterial Angiography (List Separately In Addition To Code For Primary Procedure) (Desc Rvsd 1/1/23) |
| 93575-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Pulmonary Angiography Of Major Aortopulmonary Collateral Arteries (Mapcas) Arising Off The Aorta Or Its Systemic Branches, During Cardiac Catheterization For Congenital Heart Defects, Each Distinct Vessel (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93575. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93575 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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